Just two months before the Olympics are set to begin, several regions of Japan are under emergency orders due to the coronavirus.

John Coates, speaking from Australia in a virtual news conference with Tokyo organizers at the end of three days of meetings, said this would be the case even if local medical experts advised against holding the Olympics.

Public opinion is Japan has been running at 60-80% against opening the Olympics on July 23, depending on how the question is phrased. Coates suggested public opinion might improve as more Japanese get fully vaccinated. That figure is now about 2%.

“If it doesn’t then our position is that we have to make sure that we get on with our job,” Coates said. “And our job is to ensure these games are safe for all the participants and all the people of Japan.”

IOC officials say they expect more than 80% of the residents of the Olympic Village, located on Tokyo Bay, to be vaccinated and be largely cut off from contact with the public. About 11,000 Olympic and 4,400 Paralympic athletes are expected to attend.

Coates said about 80% of spots in the Olympics would be awarded from qualifying events, with 20% coming from rankings.

Tokyo, Osaka and several other prefectures are currently under a state of emergency and health-care systems are being stretched. Emergency measures are scheduled to end on May 31, but they are likely to be extended.

“If the current situation continues, I hope the government will have the wisdom not to end the emergency at the end of May,” Haruo Ozaki, head of the Tokyo Medical Association, told the weekly magazine Aera.

Ozaki has consistently said government measures to control the spread of COVID-19 have been insufficient. About 12,000 deaths in Japan have been attributed to the virus, and the situation is exacerbated since so few in Japan have been fully vaccinated.

Ozaki warned that if the emergency conditions are not extended, the virus and contagious variants will spread quickly.

“If that happens, there will be a major outbreak, and it is possible that holding the games will become hopeless,” he added.